Corte-Real Ana, Abreu João, Figueiredo José Pedro, Nunes Tiago
Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Clinic and Academic Centre of Coimbra, Coimbra, Portugal.
Forensic Sci Med Pathol. 2024 Dec;20(4):1525-1531. doi: 10.1007/s12024-023-00745-9. Epub 2023 Nov 21.
The International Consortium Network/Orofacial Pain Special Interest Group focuses on temporomandibular disease diagnosis procedure guidelines as a reference iQAn this scope. Concerning this reference, the aim of this study was to comprehensively analyze injury and sequela frames within European and American approaches to personal damage. A quasiexperimental pilot study of Portuguese orofacial trauma cases in a medico-legal evaluation database was performed with an interrupted time series design. The clinical data were recorded following five criteria of TMJ diagnosis (jaw opening, pain, anatomical deficit, functional deficit, clinical sounds, and occlusal deficit) under three degrees of severity. The injury frame evaluation was recorded in the first-degree stage in all criteria. Pain, as a sequela, was the criterion present in 45% of the sample as spontaneous (20%) or stimulated (25%). Temporomandibular trauma damage evaluation emphasizes the accurate injury diagnosis and sequela framework. Orofacial trauma analysis should focus on the inclusion or exclusion of a TMD diagnosis. This study suggests revising the reference tables on personal damage, considering the inclusion of TMD and its categorization and impact.
国际联盟网络/口腔面部疼痛特别兴趣小组专注于颞下颌疾病诊断程序指南，以此作为该领域的参考智商。关于该参考，本研究的目的是全面分析欧美人身伤害处理方法中的损伤和后遗症框架。在一个法医学评估数据库中，对葡萄牙口腔面部创伤病例进行了一项采用中断时间序列设计的准实验性试点研究。临床数据按照颞下颌关节诊断的五个标准（张口、疼痛、解剖缺陷、功能缺陷、临床声音和咬合缺陷）在三个严重程度级别下进行记录。在所有标准的一级阶段记录损伤框架评估。作为后遗症，疼痛是样本中45%的病例出现的标准，其中自发疼痛占20%，刺激疼痛占25%。颞下颌创伤损伤评估强调准确的损伤诊断和后遗症框架。口腔面部创伤分析应侧重于颞下颌关节紊乱病诊断的纳入或排除。本研究建议修订人身伤害参考表，考虑纳入颞下颌关节紊乱病及其分类和影响。
